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MKt:Ut1VLMU No, 3554 P. 1 <br /> DATE RE�C�Wk E 6 EHD LOG NUMBER <br /> {��I{{�g E 0 SAN.IOAQUIN COUNTY <br /> �■ ENVIRONMENTAL HEALTH DEPA T E T <br /> 7- ENWRON NTAL I-E-At_TH 18(8 Fast Hazelton Av u ) o onC#FMfsjgov.org/e <br /> 32 9 <br /> ILEI-cPdlTrSEF I� 'E, . Telephone: 209 46 *9 <br /> 6 420 Fax: 0 013hd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ashlen McGinnis BUSINESS/AGENCY: SJC Public Works <br /> ADDRESS: 1810 E. Hazelton Ave CITY/STATE/ZIP: Stockton, CA 95205 <br /> PHONE(1): 209-468-3085 PHONE(2): rAXORE-MAIL: 209-468-2999 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> I] CHECK BOX,TO-EXP EDITE REQ U ST- 1,�A9-FEE CASH OR CHECK ONLY)-REQUEST_PROCESSf D IN 3 BUSW SS PAYS <br /> SIGNATURE OF APPLICANT` /� fif/( I�'rA - DATE <br /> 1. List up to ten addresses In the space below. Select the type(s)of flies from the list below by checki g the appropriate <br /> box(es). At least one file type MUST be selected- Fax to(2091464.0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EMD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review, Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5;OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map-Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) � <br /> YOTHERCLEANUPSITE(NON-LOP �� 463 E Cherokee Ln Stockton <br /> `1:�MAZARWI,SWASTE - ` dDARY <br /> IJTIEREDPERW7MFACILITY 2 1201 N Filbert St Stockton <br /> L fMOVEGROUND TANK <br /> GUST (MONITORING/REMOVAL) <br /> allAzARoou-R MATERIALS 3 1111 N E St Stockton <br /> PIWRELEASE RmpowsE <br /> Willow <br /> �/ 'A' C ^� WATER OU/d.IIY <br /> SOLID WASTE FACILITY/VEHICLE 4 2474 E V Y i l to yY St Stockton <br /> oob FACILITY I O C".� 51r,.OOL/SPA r. 81TE MITIGATION <br /> AIRY 5 3507 S Odell Ave Stockton <br /> LAND USE APPLICATION SITES <br /> SMPTIC PUMPER TRUCK/ �1 Pj Houawe <br /> YARD/CHEMICALTo1LETs e 3146 S Odell Ave Stockton I` <br /> 'f WMT£WATER TREATMENT PLANTyI� ®CUPA <br /> �HOUSINC.ADATEMPNT 7 2715 S EI Dorado St Stockton Y <br /> [(MOTEL/HOTEL <br /> izCHICKEN RANCH/DOG KENNEL �{ CUPA-UST <br /> F1 MEOICALWASTE FACILITY e 3690 S Turnpike Rd Stockton 1` <br /> ij TATTOOSODY PIERCING SOLID WA*Tc <br /> ASYE rIRE <br /> 9 <br /> COMPLAINT <br /> F1 CrrHER(PLEASE SPECIFY): ❑AccouNnNo <br /> Lu <br /> —P() ED AREA-EHD LISE ONLY" <br /> -- t <br /> ❑ Records provided by Staff-PPR Complete, sbrfff Name: <br /> Received Time—Mar, 27.2017 2; 59PM-No. 1108 <br />